Individual
EARLENE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9560 THOMPSON LN, SHREVEPORT, LA 71118-3638
(318) 286-6957
Mailing address
9560 THOMPSON LN, SHREVEPORT, LA 71118-3638
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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